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 High Risk Case Manager, RN - Work from Home!! - Detroit, Michigan, United States

   
Job information
Posted by: UnitedHealth Group 
Hiring entity type: Insurance 
Work authorization: Existing work authorization required for United States
Position type: Direct Hire, Full-Time 
Compensation: ******
Benefits: See below
Relocation: Not specified 
Position functions: Nursing - Clinic RN
Nursing - LPN / LVN
 
Travel: Unspecified 
Accept candidates: from anywhere 
Languages: English - Fluent
 
Minimum education: See below 
Minimum years experience: See below 
Resumes accepted in: English
Cover letter: No cover letter requested
Job code: 515471 / Latpro-2495365 
Date posted: Jun-01-2013
State, Zip: Michigan, 48224

Description

OptumHealth is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.
 
If you want more meaning in your career - as a clinician or a business professional - think of OptumHealth as your calling.
 
By providing 60 million Americans with information, tools and solutions, we are helping to guide them through the health care system, financing their health care needs, and enabling them to achieve their personal health and well-being goals.
 
Responsibilities for High Risk Case Managers include:

-Making outbound calls to MI Medicaid  members to assess their current health status
-Identifying gaps or barriers in treatment plans
-Providing patient education to assist with self-management
-Interacting with Medical Directors on challenging cases
-Coordinating care for members
-Making referrals to outside sources
-Coordinating services as needed (home health, DME, etc)
-Educating members on disease processes
-Encouraging members to make healthy lifestyle changes
-Documenting and tracking findings
-Utilizing Milliman criteria to determine if patients are in the correct hospital setting
-Making 'welcome home' calls to ensure that discharged member receive the necessary services and resources

What makes your clinical career greater with UnitedHealth Group? You can improve the health of others and help heal the health care system. You can work with in an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere.




Requirements

Requirements:


-Current, unrestricted RN license in Michigan
-2+ years experience in a hospital setting, acute care or direct care experience

-2+ years experience as a Case Manager
-Experience with Microsoft Word, Excel and Outlook with the ability to navigate a Windows     environment

-Must be able to work independently and be self-motivated

 

Additional Preferred Assets:


-Bachelor's Degree
-A background in managed care
-Case Management experience in an insurance environment
-Certified Case Manager (CCM)
-Strong organizational skills and multitasking abilities will be keys to success


OptumHealth is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.

OptumHealth helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their health care needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.

 

At OptumHealth, you will perform within an innovative culture that's focused on transformational change in the health care system. You will leverage your skills across a diverse and multi-faceted business. And you will make contributions that will have an impact that's greater than you've ever imagined.

 


Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V


UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.

 


 

UnitedHealth Group requires you to fill in their application form that will open in a different window.

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